Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,277.04 / $2,785.95 / $7,920.26	Facility		$2,277.04	$2,785.95	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,479.38 / $5,993.83	Professional		$1,145.70	$1,479.38	$5,993.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.11 / $2,450.21 / $3,331.69	Professional		$1,577.11	$2,450.21	$3,331.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,816.40 / $2,584.66 / $2,910.07	Professional		$1,816.40	$2,584.66	$2,910.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.38 / $2,307.09 / $3,180.67	Facility		$1,479.38	$2,307.09	$3,180.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,734.88 / $2,041.04 / $3,614.72	Professional		$1,734.88	$2,041.04	$3,614.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,597.40 / $2,146.44 / $2,269.96	Facility		$1,597.40	$2,146.44	$2,269.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.38 / $2,503.83 / $3,052.63	Facility		$1,479.38	$2,503.83	$3,052.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,007.64 / $2,612.26 / $3,330.26	Professional		$2,007.64	$2,612.26	$3,330.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,832.90 / $5,832.90 / $5,832.90	Facility		$5,832.90	$5,832.90	$5,832.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,059.73 / $2,779.85 / $3,554.01	Professional		$2,059.73	$2,779.85	$3,554.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,678.92 / $2,355.83 / $3,529.84	Professional		$1,678.92	$2,355.83	$3,529.84